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<%@ taglib prefix="c" uri="http://java.sun.com/jsp/jstl/core"%>
<%
    String path = request.getContextPath();
    String basePath = request.getScheme() + "://"
            + request.getServerName() + ":" + request.getServerPort()
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<html style="overflow-x:auto;overflow-y:auto;"><head><meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
    <title>病人基本信息录入 - Powered By 众阳集团</title>
    <meta name="author" content="http://his.com/">
    <meta name="renderer" content="webkit"><meta http-equiv="X-UA-Compatible" content="IE=8,IE=9,IE=10">
    <meta http-equiv="Expires" content="0"><meta http-equiv="Cache-Control" content="no-cache"><meta http-equiv="Cache-Control" content="no-store">
    <script src="${pageContext.request.contextPath}/ZhuYuan/病人基本信息修改- Powered By 众阳集团_files/hm.js.下载"></script><script src="${pageContext.request.contextPath}/ZhuYuan/病人基本信息修改- Powered By 众阳集团_files/jquery-1.8.3.min.js.下载" type="text/javascript"></script>
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    <!--[if lte IE 7]><link href="/HIS/static/bootstrap/2.3.1/awesome/font-awesome-ie7.min.css" type="text/css" rel="stylesheet" /><![endif]-->
    <!--[if lte IE 6]><link href="/HIS/static/bootstrap/bsie/css/bootstrap-ie6.min.css" type="text/css" rel="stylesheet" />
    <script src="/HIS/static/bootstrap/bsie/js/bootstrap-ie.min.js" type="text/javascript"></script><![endif]-->
    <link href="${pageContext.request.contextPath}/ZhuYuan/病人基本信息修改- Powered By 众阳集团_files/select2.min.css" rel="stylesheet">
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    <script type="text/javascript">var ctx = '/HIS/a', ctxStatic='/HIS/static';</script>
    <!-- Baidu tongji analytics --><script>var _hmt=_hmt||[];(function(){var hm=document.createElement("script");hm.src="//hm.baidu.com/hm.js?82116c626a8d504a5c0675073362ef6f";var s=document.getElementsByTagName("script")[0];s.parentNode.insertBefore(hm,s);})();</script>



    <meta name="decorator" content="default">
    <script type="text/javascript">
        function page(n,s){
            if(n) $("#pageNo").val(n);
            if(s) $("#pageSize").val(s);
            $("#searchForm").attr("action","/HIS/a/sys/hos/save");
            $("#searchForm").submit();
            return false;
        }
    </script>

</head>
<body><i id="btnMenu" class="icon-th-list" style="cursor:pointer;float:right;margin:10px;"></i><div id="menuContent"></div>
<form id="searchForm" class="breadcrumb form-search " action="<%=basePath%>MemberModifyController" method="post">
<ul class="nav nav-tabs">
    <li class="active"><a href="http://localhost:8081/HIS/a/sys/hos/list">病人列表</a></li>
    <li><a href="http://localhost:8081/HIS/a/sys/hos/form">病人添加</a></li>
</ul>

<script type="text/javascript">top.$.jBox.closeTip();</script>

<div class="form-actions">
    <input id="btnSubmit" class="btn btn-primary" type="submit" value="保 存">&nbsp;
    <input id="btnCancel" class="btn" type="button" value="返 回" onclick="history.go(-1)">
</div><table id="contentTable" class="table table-striped table-bordered table-condensed">


    <tbody><tr>
        <td>
            <div class="control-group">
                <label class="control-label">住院号：</label>
                <span class="help-inline"><font color="red">*</font> </span>
                <div class="controls">
                    <input id="patIentno" name="patIentno" class="required" type="text" value="${member2.memberid}" maxlength="50">
                </div>
            </div>
        </td>
        <td><label>入院日期：</label><input id="inDate" name="inDate" class="input-medium" type="text" value="${member2.createdate}" maxlength="50"></td>
        <td></td>
        <td></td>
    </tr>

    <tr>
        <td>
            <label class="control-label">姓&nbsp;&nbsp;&nbsp;名：</label>
            <span class="help-inline"><font color="red">*</font> </span>
            <input id="patientName" name="patientName" class="required" type="text" value="${member2.realname}" maxlength="50">
        </td>
        <td>
            <label class="control-label">性&nbsp;&nbsp;&nbsp;别：</label>
            <span class="help-inline"><font color="red">*</font> </span>
            <div class="select2-container" id="s2id_patientSex"><a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1">   <span class="select2-chosen">男</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow"><b></b></span></a><input class="select2-focusser select2-offscreen" type="text" id="s2id_autogen1"><div class="select2-drop select2-display-none select2-with-searchbox">   <div class="select2-search">       <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input">   </div>   <ul class="select2-results">   </ul>
            </div></div>
            <select id="patientSex" name="patientSex" tabindex="-1" class="select2-offscreen">
            <option value="1" ${member2.sex==1?'selected':'' }>男</option><option value="2" ${member2.sex==2?'selected':'' }>女</option>

        </select>
        </td>
        <td><label>出生日期：</label><input id="birthDate" name="birthDate" class="input-medium" type="text" value="*" maxlength="50"></td>

        <td>
            <label class="control-label">婚&nbsp;&nbsp;&nbsp;否：</label>
            <div class="select2-container" id="s2id_marry"><a href="javascript:void(0)" onclick="return false;" class="select2-choice" tabindex="-1">   <span class="select2-chosen">否</span><abbr class="select2-search-choice-close"></abbr>   <span class="select2-arrow"><b></b></span></a><input class="select2-focusser select2-offscreen" type="text" id="s2id_autogen2"><div class="select2-drop select2-display-none select2-with-searchbox">   <div class="select2-search">       <input type="text" autocomplete="off" autocorrect="off" autocapitalize="off" spellcheck="false" class="select2-input">   </div>   <ul class="select2-results">   </ul></div></div><select id="marry" name="marry" tabindex="-1" class="select2-offscreen">
            <option value="1">是</option><option value="0" selected="selected">否</option>
        </select>
        </td>
    </tr>
    <tr>
        <td><label>职&nbsp;&nbsp;&nbsp;业：</label><input id="occupation" name="occupation" class="input-medium" type="text" value="*" maxlength="50"></td>
        <td><label>职&nbsp;&nbsp;&nbsp;称：</label><input id="titleName" name="titleName" class="input-medium" type="text" value="*" maxlength="50"></td>
        <td></td>
        <td></td>
    </tr>
    <tr>
        <td><label>籍&nbsp;&nbsp;&nbsp;贯：</label><input id="nativePlace" name="nativePlace" class="input-medium" type="text" value="*" maxlength="50"></td>
        <td><label>国&nbsp;&nbsp;&nbsp;籍：</label><input id="nationality" name="nationality" class="input-medium" type="text" value="*" maxlength="50"></td>
        <td>
            <div class="control-group">
                <label class="control-label">身份证号：</label>
                <span class="help-inline"><font color="red">*</font> </span>
                <div class="controls">
                    <input id="capacityNo" name="capacityNo" class="required" type="text" value="${member2.credit}" maxlength="50">
                </div>
            </div>
        </td>
        <td>
            <label class="control-label">医疗证号：</label>
            <span class="help-inline"><font color="red">*</font> </span>
            <input id="staffNo" name="staffNo" class="required" type="text" value="${member2.MEDCARDID}" maxlength="50">
        </td>
    </tr>
    <tr>
        <td><label>工作单位：</label><input id="workPlace" name="workPlace" class="input-medium" type="text" value="*" maxlength="50"></td>
        <td><label>住&nbsp;&nbsp;&nbsp;址：</label><input id="homeAdder" name="homeAdder" class="input-medium" type="text" value="${member2.address}" maxlength="50"></td>
        <td><label>联系人：</label><input id="heName" name="heName" class="input-medium" type="text" value="*" maxlength="50"></td>
        <td><label>联系人电话：</label><input id="heTel" name="heTel" class="input-medium" type="text" value="${member2.tel}" maxlength="50"></td>
    </tr>
    <tr>
        <td><label>缴费方式：</label><input id="costMode" name="costMode" class="input-medium" type="text" value="*" maxlength="50"></td>
        <td><label>个人分担：</label><input id="patientCost" name="patientCost" class="input-medium" type="text" value="0" maxlength="50"></td>
        <td>
            <div class="control-group">
                <label class="control-label">结账方式：</label>
                <span class="help-inline"><font color="red">*</font> </span>
                <div class="controls">
                    <input id="settleType" name="settleType" class="required" type="text" value="1" maxlength="50">
                </div>
            </div>
        </td>
        <td>
            <label class="control-label">费&nbsp;&nbsp;&nbsp;别：</label>
            <span class="help-inline"><font color="red">*</font> </span>
            <input id="costType" name="costType" class="required" type="text" value="1" maxlength="50">
        </td>
    </tr>
    <tr>
        <td><label>预交款：</label><input id="payMoney" name="payMoney" class="input-medium" type="text" value="0" maxlength="50"></td>
        <td><label>疾病诊断：</label><input id="diagnoseName" name="diagnoseName" class="input-medium" type="text" value="*" maxlength="50"></td>
        <td><label>ICD-9编码：</label><input id="icd9" name="icd9" class="input-medium" type="text" value="" maxlength="50"></td>
        <td></td>
    </tr>
    <tr>
        <td><label>科&nbsp;&nbsp;&nbsp;别：</label><input id="section" name="section" class="input-medium" type="text" value="*" maxlength="50"></td>
        <td><label>床&nbsp;&nbsp;&nbsp;号：</label><input id="bedNo" name="bedNo" class="input-medium" type="text" value="88" maxlength="50"></td>
        <td><label>出院日期：</label><input id="outDate" name="outDate" class="input-medium" type="text" value="*" maxlength="50"></td>
        <td></td>
    </tr>




    </tbody></table>

<script type="text/javascript">//<!-- 无框架时，左上角显示菜单图标按钮。
if(!(self.frameElement && self.frameElement.tagName=="IFRAME")){
    $("body").prepend("<i id=\"btnMenu\" class=\"icon-th-list\" style=\"cursor:pointer;float:right;margin:10px;\"></i><div id=\"menuContent\"></div>");
    $("#btnMenu").click(function(){
        top.$.jBox('get:/HIS/a/sys/menu/treeselect;JSESSIONID=8aa33e1791c240fe84600ad4faf998d9', {title:'选择菜单', buttons:{'关闭':true}, width:300, height: 350, top:10});
        //if ($("#menuContent").html()==""){$.get("/HIS/a/sys/menu/treeselect", function(data){$("#menuContent").html(data);});}else{$("#menuContent").toggle(100);}
    });
}//-->
</script>
</form>
</body></html>